Chapter 313: On Almost the Tao (First Update, Ask for Subscription)
"It seems that Dr. Chen, who is on duty in the surgical office, calls him Dr. Fang, and only knows that he is the general inpatient of trauma surgery." A white lab coat in the emergency room replied.
Then he asked a little later: "That's okay, Doctor Mi?" ”
Looking at the patient's monitor, the high pressure has risen by 3mmHg after hemostasis and fluid infusion.
Not dislike less at all.
As long as he didn't continue to descend below the shock line like before, he felt lucky.
The white coat who was on duty in the emergency room knew that the emergency department of this hospital had a specialist emergency duty for vascular surgery, and Mickey was about to be promoted to deputy high, and his strength was quite reliable in the past few months.
If it weren't for the fact that the patient's condition was really dangerous before, and he could explain his life after a few more seconds, he really didn't necessarily agree with Fang Ziye to directly open the bag and take the hemostat and "insert it".
"Fang Ziye, I know." Mickey knew the identity of Dr. Fang as soon as he heard it.
Although Mitch was on duty in the emergency department, how could he not remember the young doctor who had really taught the vascular surgery hospital, including him, a hard lesson.
Director Wu Yong said that the precursor signs of abdominal aortic dissection in the patient's CT at that time could only be read by very deep reading technology.
Later, wasn't it because Director Wu Yong took a fancy to him, but when he heard about it, he went to ask Professor Deng Yong of the Department of Trauma Surgery.
But I also listened to Professor Deng Yong of the Department of Trauma Surgery, who really didn't pay attention to his demeanor, and scolded Professor Wu Yong, who was only one word different from him, to the point of blood, saying that Wu Yong had eight hands, and there were too many hands to be idle, and he stretched here and there......
"The problem is definitely no problem, let's not talk about this nonsense first, send it to the operating room first!"
"Emergency preoperative preparation, blood matching, blood coagulation function electrolytes, the result is not waiting, what kind of result has to be saved on stage! ~" After Mickey gave the order, he quickly moved to the side to make a call.
He is the on-duty doctor of the emergency department of the Department of Vascular Surgery, and he only works two shifts with another brother, and there is only one person in the hospital regularly, so he cannot leave his post.
Once the indication for emergency surgery is confirmed, it is immediately transferred to the general inpatient or other doctors for emergency surgery.
Although he can also do the operation, he can't go to the operating room to do it in person now, otherwise if there is an abdominal aortic dissection at the next moment, no one will accept it in the short term, and the other doctors in the emergency department are not particularly professional, so they will have to call for consultation.
Then the point of the emergency surgery office is pure.
When the hospital is large and has a relatively sufficient number of staff, the first principle is to ensure that the procedure is stable and not chaotic.
Mickey quickly arranged the second-line shift of the operation, mainly because the hospitalized general Liu Faming was now on the stage and could not be withdrawn.
However, hospitalization is always impossible to withdraw, and this is not a reason for vascular surgery not to perform emergency surgery.
As long as everyone in the department is on stage and there is really no one available, it is not possible to watch a patient die due to the emergency department of vascular surgery, which is the principle that the department has always adhered to.
After doing this, Mickey didn't go back to the break room, but went to the surgical office.
After entering the consultation room, Mickey found that Chen Jiameng, who had already changed his clothes.
They are all colleagues of the same age who are about to be promoted to deputy senior and belong to the same circle of major surgery, and Mickey knows him well.
After pushing the door in, Mickey took the initiative to greet and said, "Professor Chen, I knew that Dr. Fang was here with you." ”
Chen Jiameng is a geriatric surgeon, and the promotion of geriatric surgery to associate professor also requires emergency department rotation experience, but the hospital will not be absurd and extravagant enough to set up a special emergency department for geriatric surgery.
So Chen Jiameng was on duty in the emergency surgery room.
Chen Jiameng was about to be promoted but was not promoted, so Mickey's words were a little ridiculous, and Chen Jiameng also fought back: "Academician Mickey of vascular surgery has come to guide the work!" ”
"Xiaofang, stand up to greet you!" Chen Jiameng drank decently.
Fang Ziye stood up when he heard this, but he didn't really stand up and salute, and shouted Teacher Mi generously.
A colleague in the hospital, whether you know your name or not, it is not wrong to call a teacher.
", don't spoil the kid." Mickey rolled his eyes at Chen, and took the new bottle of Wahaha mineral water that Chen Jiameng took from under the drawer.
looked at Fang Ziye: "Xiao Fang, don't listen to his nonsense, I am a few years older than you, and I have no master-apprentice status." You call me Mi Ge or Chi Ge, it sounds comfortable. ”
"Besides, our fate is really not shallow, I have to find a good opportunity to thank you."
Fang Ziye's fate with vascular surgery is indeed not shallow, not to mention that this time Fang Ziye was able to help as soon as possible, and more importantly, after Fang Ziye was put on the cold bench last time, he was not angry, but after noticing that the patient was suspected of having abdominal aortic dissection, he quickly asked people to call for emergency consultation.
In the end, the patient was properly managed.
It's not that Mickey can't afford to be unable to see the aura of abdominal aortic dissection on a rectangular CT x-ray, but Mickey certainly can't afford it.
The level is limited, and everyone has to grow.
The threshold for reading this film is extremely high, and Mickey thinks that his level is not a dish at the same age, but if you want to say that compared with the professors, there must be a gap and it is not small.
However, it is impossible for a teaching hospital as large as Zhongnan Hospital to have enough resources to place a professor in the emergency vascular surgery room for emergency diagnosis.
It's a luxury, and it's a tyrannical thing.
Even if there is such a great professor in Zhongnan Hospital, such an arrangement has been made, but others may not be willing to come to the emergency department to see the emergency clinic and stay up late, isn't it fragrant to go to another tertiary hospital to be a top boss?
Mickey is just the curator, the curator is not a god, and he can't see the super difficult diagnosis, which is excusable.
At most, one penalty will be placed.
But who wants to make a difference if everyone is happy?
Mickey's half-cut words naturally made Chen Jiameng stunned, but after Mickey saw Chen Jiameng's doubts, he briefly described what happened before.
After hearing this, Chen Jiameng immediately said: "That's a good thank you, at least you need to eat all meat and Haidilao." ”
What stands out about Chen Jiameng is not Haidilao, but all meat.
As we all know, Haidilao does not sell taste, but service and price.
Fang Ziye smiled and said, "Brother Qi, you are polite, I am afraid that you will blame me for a little Meng Lang." ”
"When you encounter such a thing, even if you are just suspicious, you have to have the courage to work hard with other teachers in vascular surgery."
"In the future, I will definitely need Brother Qi and Brother Mong, where you will take care of it a lot."
Fang Ziye's words are not crooked, nor do they pretend to be humble, which makes people sound a little comfortable.
"Would you like some supper?" Mitch proposed.
Fang Ziye said: "Brother Qi, you and Brother Mong can eat, I just got a barbecue from Brother Deng Zhi in the emergency department......"
"Haha, let's have some food together? I said that I was on duty, and I couldn't sleep properly, and I always felt that I couldn't stay up if I didn't eat a supper, and I couldn't sleep well...... "Mickey suggested to Chen Jiameng.
Mickey's smile is a wry smile.
In a place like Zhongnan Hospital, if you don't reach the height, you are all cows and horses.
Associate professors are a little better, they only need to be on the second-line shift, even during their previous treatment, they need to be on the first-line shift, and the first-line shift is to deal with diseases that cannot be handled by hospitalization.
Fang Ziye also felt that even if he went back, he might not be able to sleep well, and now the time was close to four o'clock in the morning.
If the opportunity is right later, find a place for Chen Jiameng or Mickey to rest and lie down for a while, lie down until about seven o'clock to buy a bowl of hot dry noodles and go back to the department to participate in the morning shift.
Mickey really started ordering supper, while checking with Fang Ziye again to see if he really didn't eat anymore.
The takeaway payment had just finished, and Mickey received a call before he could press back to the desktop page from the WeChat page of the payment.
Mickey saw that it was another brother in the department calling.
Then he asked, "Chaoyang, what's wrong?" Haven't come to power yet? ”
"I was just about to go on stage, my hands were sterilized, Liu Mingming's previous surgery was just done, so I came over to do an incision and exploration first, guess what, after I saw it, I really couldn't help it, and I had to complain to you when I picked up my phone."
"What the hell is going on with this trauma surgeon? Opened the perspective hanging, right? ”
"He's just ......," the doctor who called Chaoyang complained, and the shock in his tone was particularly harsh in the middle of the night.
Mickey saw that Fang Ziye was beside him, and hurriedly interrupted: "What is not forced, speak civilly, those who understand know that we are talking about Doctor Fang, and those who don't know think that the barrel of our vascular surgery only knows the cavity tube." ”
In order to drag away the embarrassment, Mickey directly flattened Chen Jiameng and Fang Ziye with tires.
In surgery, not only trauma surgery and orthopedics have high-speed F4, but people can speed as much as possible.
When Lu Chaoyang heard this, he immediately understood the meaning: "Brother Qi, isn't it a misunderstanding." The main thing is that it is too shocking! ”
"Doctor Fang's hemostat blindly entered it, and it just clamped the main trunk of the proximal end of the arterial branch, and it didn't clamp the big main branch like the common iliac artery!"
"This kind of skill, if it weren't for the perspective hanging, it would be really awesome."
Lu Chaoyang's tone was much calmer, but the content was still incredible, and in the end, he quickly mentioned what he shouldn't have mentioned, just like a literati during the "Literary Prison", and quickly changed his words: "This kind of kung fu is almost like the Tao." ”
Mickey listened to Lu Chaoyang's words, and couldn't help but look at Fang Ziye several times, his eyes were also mixed with shock and disbelief, but in the end, Mickey said another sentence that deviated the whole atmosphere.
"You'd better explain whether this is close or in."
"Otherwise, the error will be very large."
Lu Chaoyang, who understood what Mickey meant, had nothing to talk about, "Brother Qi, I'll hang up and go on stage first." ”
Then he hung up the phone unilaterally.
Mickey looked at Fang Ziye and Chen Jiameng and said, "I'm sorry, this little brother in our department has a slightly higher level of driver's license." ”
The corners of Chen Jiameng's mouth squirmed for a while, and the eyes in his eyes were saying, TM, something is wrong with you.
From Lao Tzu's "Tao Te Ching", it is almost Tao, what have you played like?
(End of chapter)